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NPI 1508471541 · live from the CMS NPI Registry

Alexandra Andraski, CRNP

Nurse Practitioner, Adult Health in Philadelphia, PA. National Provider Identifier 1508471541, active.

NPI record

NPI1508471541 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Adult Health 363LA2200X
Practice location2109 Red Lion Rd, Philadelphia, PA 19115
Practice phone732-486-7373
Mailing address3500 Powelton Ave Apt A107, Philadelphia, PA 19104
EnumeratedSeptember 15, 2020
Last updatedSeptember 19, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Adult Health primary363LA2200XSP022487 (PA)
Registered Nurse, Gerontology163WG0600XRN693565 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.